Organization
CRAIG COSTELLO DC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG COSTELLO D.C. (OWNER)
(814) 835-9020
Entity
Organization
Contact information
Practice address
2556 W 12TH ST, ERIE, PA 16505-4508
(814) 835-9020
(814) 836-9111
Mailing address
2556 W 12TH ST, ERIE, PA 16505-4508
(814) 835-9020
(814) 836-9111
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC005032L
PA
Other
Enumeration date
03/06/2007
Last updated
10/15/2007
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